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THOMAS M CAMPBELL MD
NPI 1194042812
Family Medicine in Rochester, NY

Active since April 21, 2010PECOS EnrolledAccepts Medicare Assignment
85.17/100
CMS Quality Rating
10 SOUTH POINTE LANDING, SUITE 250, ROCHESTER, NY 14606(585) 426-4084(585) 426-4631 Get Directions Write a Review

NPPES record last updated: July 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Thomas M Campbell Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THOMAS M CAMPBELL MD (NPI 1194042812) is an individual family medicine provider in Rochester, New York, licensed in New York (269006) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with Highland Hospital, and is a graduate of State University Of New York At Buffalo School Of Medicine (2010).

NPPES Registry Identity

NPI1194042812
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTHOMAS M CAMPBELLCredential: MD
Location Address10 SOUTH POINTE LANDING, SUITE 250Rochester, NY 14606
Mailing Address601 Elmwood Ave, Box 278980Rochester, NY 14642-0001 · (585) 426-4084 · Fax (585) 426-4631
Phone(585) 426-4084
Fax(585) 426-4631
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 2010
Enumeration DateApril 21, 2010
Last NPPES UpdateJuly 7, 2023
✔ NPI 1194042812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 269006
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X · License 269006 (NY)
10 SOUTH POINTE LANDING, Rochester, NY 14606
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Thomas M Campbell Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941443949
PECOS Enrollment IDI20130823000213
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Highland Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330164
Location1000 South AvenueRochester, NY 14617 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14606 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.92
Promoting Interoperability100
Improvement Activities40
Cost62.98

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

INGRID K WATKINS MD
Family Medicine
10 SOUTH POINTE LANDING, SUITE 250
ROCHESTER, NY 14606
Monroe County (585) 426-4084

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thomas Campbell's NPI number?

The NPI number for Thomas Campbell is 1194042812. It was assigned to this individual provider in the NPPES registry on April 21, 2010.

Where is Thomas Campbell located?

Thomas Campbell practices at 10 South Pointe Landing Suite 250, Rochester, NY 14606. The listed phone number is (585) 426-4084.

What is Thomas Campbell's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Thomas Campbell enrolled in Medicare?

Yes. Thomas Campbell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Thomas Campbell affiliated with any hospitals?

According to CMS data, Thomas Campbell is affiliated with Highland Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Campbell was last updated on July 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.